Individual provider Active NPI

Laurie M Kuestner, M.D.

  • Vascular Surgery Physician
  • Idaho Falls, ID
National Provider Identifier
1235111261
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
9871966 Issued in ID
Practice address
2860 Channing Way Ste 220
Idaho Falls, ID 83404-7541
Phone
(208) 800-6155
Fax
(208) 800-6158
NPI assigned
Nov 16, 2005
Last updated
Sep 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 9871966 ID Primary

Addresses

Primary practice location

2860 Channing Way Ste 220
Idaho Falls, ID 83404-7541

Mailing address

PO Box 277381
Atlanta, GA 30384-7381

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, ID2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081125000717 IA Practitioner - Peripheral Vascular DiseasePractitioner - Cardiovascular Disease (Cardiology)Practitioner - Vascular Surgery 2466512132 Reassigns benefits to 1 organization
I20250911003646 ID Practitioner - Vascular Surgery 2466512132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
University of South Florida College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Idaho Physician Services IncGroup PAC ID 2163430943, 18 clinicians

Practice addresses (Care Compare)

3200 Channing Way
Suite A205
Idaho Falls, ID 83404-7586
Phone (208) 535-4580

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives-Iowa Corp Vascular Surgery CurrentSince Oct 1, 2009 Accepting new patients
Catholic Health Initiatives-Iowa Corp CurrentSince Oct 1, 2009 Accepting new patients
Idaho Physician Services Inc. CurrentSince Oct 6, 2025 Accepting new patients
Iowa Heart Center PC Vascular Surgery Past Accepting new patients
Boone County Hospital Past Accepting new patients
Mercy Clinics, Inc. Past Accepting new patients

Locations

1816 Philadelphia St
Ames, IA 50010
Phone (515) 232-2500

800 Mercy Dr
Ste 120
Council Bluffs, IA 51503
Phone (712) 388-2633

411 Laurel St
Ste 3100
Des Moines, IA 50314
Phone (515) 235-5000

411 Laurel St
Ste A250
Des Moines, IA 50314
Phone (515) 235-5000

800 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6800

3 S 4th Ave
Marshalltown, IA 50158
Phone (641) 754-5145

5880 University Ave
West Des Moines, IA 50266
Phone (515) 633-3600

5880 University Ave
Ste 103
West Des Moines, IA 50266
Phone (515) 633-3600

2860 Channing Way
Ste 116
Idaho Falls, ID 83404
Phone (208) 529-0575

2860 Channing Way
Ste 220
Idaho Falls, ID 83404
Phone (208) 535-4000

3200 Channing Way
Ste A205
Idaho Falls, ID 83404
Phone (208) 535-4580

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: laurie.kuestner@hca3.eclinicaldirectplus.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1235111261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277381",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303847381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 CHANNING WAY STE 220",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047541",
            "telephone_number": "208-800-6155",
            "fax_number": "208-800-6158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUESTNER",
        "first_name": "LAURIE",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-16",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "ID",
            "license": "9871966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.